Individual provider Active NPI

Keith Allen Schertell, D.C.

  • Chiropractor
  • Orange Park, FL
National Provider Identifier
1902803018
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0007619 Issued in FL
Practice address
868 Blanding Blvd
Ste 128
Orange Park, FL 32065
Phone
(904) 272-4555
Fax
(904) 276-2521
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0007619 FL Primary

Addresses

Primary practice location

868 Blanding Blvd
Ste 128
Orange Park, FL 32065

Mailing address

784 Blanding Blvd
Ste 106
Orange Park, FL 32065-7724
Phone (904) 272-4555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070302000113 FL Practitioner - Chiropractic 0941302343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6251 Argyle Forest Blvd
Suite 101
Jacksonville, FL 32244-8925
Phone (904) 778-0968

784 Blanding Blvd
Suite 106
Orange Park, FL 32065-7724
Phone (904) 272-4555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0007619FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Park Chiropractic Center PA Chiropractor CurrentSince Jun 15, 2005 Accepting new patients
Argyle Chiropractic Center P a Chiropractor CurrentSince Feb 23, 2006 Accepting new patients

Locations

6251 Argyle Forest Blvd
Ste 101
Jacksonville, FL 32244
Phone (904) 778-0968

868 Blanding Blvd
Ste 128
Orange Park, FL 32065
Phone (904) 272-4555

784 Blanding Blvd
Ste 106
Orange Park, FL 32065
Phone (904) 272-4555

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1902803018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 BLANDING BLVD",
            "address_2": "STE 106",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657724",
            "telephone_number": "904-272-4555",
            "fax_number": "904-276-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 BLANDING BLVD",
            "address_2": "STE 128",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32065",
            "telephone_number": "904-272-4555",
            "fax_number": "904-276-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERTELL",
        "first_name": "KEITH",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.